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NPI Code Detail

MEDICARE: KRISTIN CANTWELL RBT

MEDICARE:   KRISTIN  CANTWELL  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1558863043
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN CANTWELL RBT
Provider Business Mailing Address
First Line : 4003 PRESTON RUN
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-1953
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 640 GRASSMERE PARK STE 116
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-3678
Country : US
Telephone Number : 615-864-3327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 03/12/2022

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Directions to “ KRISTIN CANTWELL RBT” Practice Location

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